Boise State University Human Resource Services - Benefits
Insurance - COBRA
After your eligibility for group health care coverage ends, you may be able to purchase continued medical and dental benefits, on an individual basis, for a period of time under a federal law known as the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA).
Enrollment
To continue coverage, the covered person must complete a COBRA continuation enrollment form within 60 days after their group coverage terminates. The COBRA participant must pay the required monthly costs for the continuation of coverage. If you have any questions or need COBRA enrollment forms, contact the Office of Insurance Management, 208-332-1860, ogi@adm.idaho.gov
| Medical Coverage | Blue Cross of Idaho Traditional | Blue Cross of Idaho PPO |
|---|---|---|
| Subscriber | $429.00 | $403.00 |
| Subscriber Plus Spouse, with Dependent Vision | $847.00 | $795.00 |
| Subscriber Plus Spouse, without Dependent Vision | $845.00 | $793.00 |
| Subscriber Plus One Child, with Dependent Vision | $598.00 | $562.00 |
| Subscriber Plus One Child, without Dependent Vision | $595.00 | $559.00 |
| Subscriber Plus Two or More Children, with Dependent Vision | $848.00 | $796.00 |
| Subscriber Plus Two or More Children, without Dependent Vision | $845.00 | $793.00 |
| Subscriber, Spouse and Child, with Dependent Vision | $1,015.00 | $953.00 |
| Subscriber, Spouse and Child, without Dependent Vision | $1,011.00 | $949.00 |
| Subscriber, Spouse and Children, with Dependent Vision | $1,266.00 | $1,189.00 |
| Subscriber, Spouse and Children, without Dependent Vision | $1,260.00 | $1,183.00 |
| Dental Coverage | Delta Dental |
|---|---|
| Subscriber | $24.00 |
| Subscriber Plus Spouse | $48.00 |
| Subscriber Plus One Child | $34.00 |
| Subscriber Plus Two or More Children | $48.00 |
| Subscriber, Spouse and One Child | $58.00 |
| Subscriber, Spouse and Children | $72.00 |
PAYMENT OF PREMIUM
The COBRA payments are administered through the Office of Insurance Management, 208-332-1860, ogi@adm.idaho.govus